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Arizona Order to Show Cause and Affidavit for Contempt document sample
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INSTRUCTIONS:
HOW TO FILE THE MOTION FOR ORDER TO SHOW CAUSE RE: CONTEMPT
FORMS: The forms are designed to assist non-residential parents who are unable to exercise their
parent-time, in violation of their court-ordered parent-time rights. These forms are for use in the
Third District Court ONLY (Salt Lake, Summit, and Tooele counties).
STEP 1: MOTION FOR ORDER TO SHOW CAUSE RE: CONTEMPT: Include your name,
address, and phone number in the upper left-hand corner. Copy all of the other court information (name
of Petitioner, Respondent, case/civil number, Judge, and Commissioner) exactly as it appears on the
court order. Then complete all the information on this form, especially the information regarding the
existing orders of the Court which deal with parent-time as well as what you want the Court to order
regarding parent-time. Do not forget to complete the CERTIFICATE OF MAILING.
STEP 2: PARENT-TIME DISPUTE REFERRAL FORM: Fill this form out completely,
including all phone numbers that you have for you and the other parent and email addresses. Please
check all the boxes that apply to your case.
STEP 3: WHEN COMPLETED: When you have completed the MOTION, AFFIDAVIT,
and REFERRAL FORM, make three (3) copies of the MOTION and AFFIDAVIT.
• Mail one of the copies of the MOTION and AFFIDAVIT to the other parent
• Keep one of the copies for your records
• Attach the REFERRAL FORM to one of the copies and either submit the MOTION and
AFFIDAVIT in person, via mail or via fax to:
The Co-Parenting Mediation Program
Administrative Office of the Court
450 South State Street, N31
Salt Lake City, Utah 84114-0241
Fax: 801-578-3843
• Submit the original MOTION and AFFIDAVIT to the Third District Court, in which
your Court case is filed. Below is a list of all Third District Courthouses:
Scott Matheson Courthouse Silver Summit District Court
450 South State Street, W-30 6300 N. Silver Creek Dr., Suite A
Salt Lake City, Utah 84114-0241 Park City, Utah 84098
Tooele District Courthouse West Jordan District Courthouse
74 South 100 East 8080 S. Redwood Road
Tooele, Utah 84074 West Jordan, Utah 84088
If mediation is scheduled in your case, you will receive information from the Co-Parenting
Mediation Program via U.S. Mail regarding the date, time, and location of mediation. You may
also visit our website at www.utcourts.gov/mediation/cpm for more information about our program.
___________________________________ (Your Name)
___________________________________ (Your Street Address)
___________________________________ (City, State, ZIP Code)
___________________________________ (Telephone Number)
IN THE THIRD JUDICIAL DISTRICT COURT
OF __________________ COUNTY, STATE OF UTAH
____________________________________________________________________________
)
___________________________,
)
Petitioner, MOTION FOR ORDER TO SHOW
) CAUSE RE: CONTEMPT (PARENT-TIME)
vs.
)
___________________________,
) Civil No. ______________________________
Respondent.
) Judge _______________________________
) Commissioner __________________________
____________________________________________________________________________
I, ________________________ (your name) REQUEST THE court to order
__________________________ (opposing party’s name) to appear before this Court to show
cause why he/she should not be held in contempt and appropriately sanctioned, and why any
other additional relief as determined by the Court should not be ordered due to his/her non-
compliance with a Domestic Court Order regarding PARENT-TIME.
This Motion is supported by an Affidavit in Support of Order to Show Cause and other pertinent
documentation, as needed, which have been submitted with this Motion.
Dated:_____________________ Signature ______________________________________
CERTIFICATE OF MAILING
On this _________ day of ______________, 200__, I deposited in the United States
Mail, postage prepaid, a true and correct copy of the foregoing Motion For Order to Show Cause
Regarding Contempt (Parent-Time) to:
___________________________________ (Name of other party or their attorney)
___________________________________ (Street address)
___________________________________ (City, State, ZIP Code)
_____________________________________
(Signature of person mailing document)
___________________________________ (Your Name)
___________________________________ (Your Street Address)
___________________________________ (City, State, ZIP Code)
___________________________________ (Telephone Number)
IN THE THIRD JUDICIAL DISTRICT COURT
OF __________________ COUNTY, STATE OF UTAH
____________________________________________________________________________
)
___________________________,
)
Petitioner, AFFIDAVIT IN SUPPORT OF
MOTION FOR ORDER TO SHOW
) CAUSE RE: CONTEMPT (PARENT-TIME)
vs.
)
___________________________,
) Civil No. ______________________________
Respondent.
) Judge _______________________________
) Commissioner __________________________
____________________________________________________________________________
__________________________(your name), who is the requesting party in this action, states
and affirms:
1. This affidavit and the Motion for Order to Show Cause have been filed to enforce a
_______________________ (name of order, for example, Decree of Divorce or Order of
Paternity) in the Third District Court in the state of Utah on the ____day of ___________,
20___.
2. A _______________________ (name of order, for example, Decree of Divorce or
Order of Paternity) was entered herein on ______________(date order was signed by the Court),
which included provisions for custody and parent time as follows (write the court orders
regarding custody and parent-time):
a. Orders Regarding Custody:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
b. Orders Regarding Parent-Time:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
c. Other Orders (telephone access, special circumstances, etc.):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
4. ______________________ (opposing party’s name) is not complying with the
provisions marked above in paragraph three in the following way:
(Clearly & briefly describe what the other party has done in violation of the court order regarding parent-time and
attach any relevant documentation. Add another page if necessary)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Dated: _______________ Signature: _____________________________________________
STATE OF UTAH,
COUNTY OF __________________
Requesting Party _____________________________________ personally appeared
before me, the undersigned Notary Public, and proved to me Requesting Party identity with
documentation in the form of_________________________________; and upon being sworn
and under oath, signed the preceding document entitled AFFIDAVIT IN SUPPORT OF
MOTION FOR ORDER TO SHOW CAUSE RE: CONTEMPT (PARENT-TIME) in my
presence and acknowledged and affirmed the information contained in the document is true to
the best of the Requesting Party’s own personal knowledge and that Requesting party has signed
the document voluntarily for its stated purpose.
Dated: ________________________
________________________________________
Deputy Clerk/Notary Public
___________________________________ (Your Name)
___________________________________ (Your Street Address)
___________________________________ (City, State, ZIP Code)
___________________________________ (Telephone Number)
IN THE THIRD JUDICIAL DISTRICT COURT
OF __________________ COUNTY, STATE OF UTAH
____________________________________________________________________________
)
___________________________,
)
Petitioner, ORDER TO SHOW
) CAUSE RE: CONTEMPT (PARENT-TIME)
vs.
)
___________________________,
) Civil No. ______________________________
Respondent.
) Judge _______________________________
) Commissioner __________________________
____________________________________________________________________________
Having reviewed the Motion for Order to Show Cause Re: Contempt and the Affidavit in
Support of Motion for Order to Show Cause Re: Contempt.
1. _____________________________(opposing party name), is ordered to appear before
the Court located at _____________________________________________________________,
on the ___ day of ____________, 20___, at the hour of _______ a.m./p.m., before
Judge/Commissioner ________________________________ in Courtroom __________.
BY THE COURT:
DATED ______________ THE HONORABLE ___________________________________
District Court Commissioner
DATED ______________ THE HONORABLE ___________________________________
District Court Judge
___________________________________ (Your Name)
___________________________________ (Your Street Address)
___________________________________ (City, State, ZIP Code)
___________________________________ (Telephone Number)
IN THE THIRD JUDICIAL DISTRICT COURT
OF __________________ COUNTY, STATE OF UTAH
____________________________________________________________________________
)
___________________________,
)
Petitioner, ORDER ON ORDER TO SHOW
) CAUSE RE: CONTEMPT (PARENT-TIME)
vs.
)
___________________________,
) Civil No. ______________________________
Respondent.
) Judge _______________________________
) Commissioner __________________________
____________________________________________________________________________
The hearing on the Order to Show Cause Re: Contempt (Parent-Time) was held before
this Court on the_____ day of _________________, 20____.
Petitioner ( ) was present at the hearing.
Petitioner’s Attorney ( ) ___________________ was present at the hearing.
Respondent ( ) was present at the hearing.
Respondent’s Attorney ( ) ___________________ was present at the hearing.
Having reviewed the file in this matter, having made inquiries of the parties as needed,
and being otherwise fully advised,
THE COURT HEARBY ORDERS:
1.______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2.______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3.______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4.______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5.______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
BY THE COURT:
DATED: _____________________ __________________________________________
THE HONORABLE COMMISSIONER
DATED: _____________________ __________________________________________
THE HONORABLE JUDGE
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